中国实用外科杂志2017，Vol.37Issue(4)：366-369,4.DOI:10.19538/j.cjps.issn1005-2208.2017.04.11
腹腔镜胃癌根治术保脾脾门淋巴结清扫出血预防与处理
Prevention and treatment of bleeding for laparoscopic spleen-preserving splenic hilus lymphadenectomy for gastric cancer
黄昌明 1陈起跃1
作者信息
- 1. 福建医科大学附属协和医院胃外科,福建福州350001
- 折叠
摘要
Abstract
Splenic hilar lymph node (LN) should be removed in a D2 lymph node dissection for the advanced proximal gastric cancer, according to Japanese Gastric Cancer Treatment Guidelines 2010. In recent years, with the continuous development and improvement of laparoscopic anatomy technology and equipment,and the in-depth study of spleen function,laparoscopic spleen-preserving splenic hilus lymphadenectomy has received more and more attention and been gradually being used in operations. However,because of the complexity of splenic hilar anatomy,the challenges of metastatic lymph node dissection,obesity,adhesions of the splenic hilus,etc. bleeding is often a challenge for surgeons in laparoscopic spleen-preserving splenic hilus lymphadenectomy. Therefore, mastering the strategies of prevention and treatment of bleeding for laparoscopic spleen-preserving splenic hilar LN dissection is critical for successfully completing the operation.关键词
胃癌/腹腔镜/脾门淋巴结清扫/出血Key words
gastric cancer/laparoscopy/splenic hilus lymphadenectomy/bleeding分类
医药卫生引用本文复制引用
黄昌明,陈起跃..腹腔镜胃癌根治术保脾脾门淋巴结清扫出血预防与处理[J].中国实用外科杂志,2017,37(4):366-369,4.
